Individual
ELLICIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1557 SW MERCEDES AVE, PORT SAINT LUCIE, FL 34953-4107
(561) 714-6221
Mailing address
5826 GYPSUM PLACE, WEST PALM BEACH, FL 33413
(561) 714-6221
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/21/2025
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